应用双环法重建健侧乳房改善双侧乳房对称性的临床研究  

Clinical study on improving the symmetry of breasts by bi-loop technique in breast reconstruction patients

作　　者：李日涵[1] 李荷欢[1] 贺佳妮[1] 刘晓颖[1] 李怒[1] 金锋[2] 韩思源[1] LI Ri-han;LI He-huan;HE Jia-ni;LIU Xiao-ying;LI Nu;JIN Feng;HAN Si-yuan(Department of Breast Reconstructive Surgery,The First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院乳房修复重建外科,辽宁沈阳110001 [2]中国医科大学附属第一医院乳腺外科,辽宁沈阳110001

出　　处：《中国美容整形外科杂志》2021年第6期331-333,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：国家自然科学基金(82073282)。

摘　　要：目的探讨应用双环法重建健侧乳房改善双侧乳房对称性的临床效果。方法回顾性分析自2017年7月至2020年7月中国医科大学附属第一医院乳房修复重建外科18例行置入物乳房重建术的同时对侧乳房行双环法提升固定术,并记录患者手术前后的临床数据以及术后满意度,随访1~12个月。结果手术前后胸骨-乳头距离变化差异有统计学意义(P<0.05),采用假体一步法乳房重建的患者术后垂直维度、双乳对称性与术前比较,其差异无统计学意义(P>0.05),采用扩张器-假体两步法乳房重建的患者术后乳房对称性改善较好(P<0.05)。结论采用双环法提升健侧乳房可改善双侧乳房对称性,使双侧乳房获得更好的临床效果。Objective To explore the clinical efficacy of improving the symmetry of breasts by bi-loop technique in breast reconstruction patients.Methods Eighteen patients underwent implant breast reconstruction and contralateral breast lift surgery by bi-loop technique from July 2017 to July 2020 were retrospectively analyzed.All patients were followed-up from 1 to 12 months,the clinical data before and after operation and postoperative satisfaction were recorded.Results The difference of sternum-nipple distance change before and after operation was statistically significant(P<0.05).There was no statistical difference in breasts symmetry of vertical dimension in patients underwent one-stage prosthesis-based breast reconstruction(P>0.05).The breasts symmetry of patients underwent two-stage expander-prosthesis breast reconstruction improved well after operation(P<0.05).Conclusion Lifting breast in healthy side by bi-loop technique can improve breasts symmetry.The breast reconstruction achieved good postoperative efficacy.

关 键 词：乳腺癌 乳房重建 健侧乳房 乳房下垂 双环法 

分 类 号：R655.8[医药卫生—外科学]